Associations Between Temporomandibular Pain and Biobehavioral Variables in Dental Students in Response to an External Stressor.

IF 1.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Oral & Facial Pain and Headache Pub Date : 2023-11-17 DOI:10.11607/ofph.3239
István Somoskövi, Márta Radnai, Richard Ohrbach, Timea Dergez, István Tiringer, Andrea Radácsi, Ákos Nagy
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Abstract

Aims: To assess changes in temporomandibular disorder (TMD) pain and multiple biobehavioral variables relevant to TMDs in response to an external stressor.

Methods: Self-reported data using online DC/TMD questionnaires were collected from volunteer dentistry graduate students. Data collection was performed on two occasions: during a non-exam period of the semester and during the subsequent exam period. Changes in the proportion of students with pain, differences in pain grade, and severity of biobehavioral status were measured and compared over the two periods. The association between severity of non-exam-period biobehavioral status and pain presence was also tested to assess whether biobehavioral variables can predict pain occurrence or persistence. Chi-square test, Wilcoxon signed-rank test, ANOVA, and Kruskal-Wallis tests were used for data analysis. P < .05 was considered significant.

Results: Of the 213 enrolled students, 102 remained after data reduction. In the non-exam period, the proportion of individuals with pain was 24.5%; in the exam period, the proportion was 54.9%, and more students had a higher pain grade. The severity of all biobehavioral variables was higher in the exam period, but there was no association between changes in the presence of pain and changes in biobehavioral variables. Higher anxiety and parafunction levels were found in those who reported pain on both occasions.

Conclusion: Exam periods initiate readily measurable changes in the psychologic status of many students, as well as alterations in their temporomandibular pain. Higher levels of anxiety and oral behaviors during non-exam periods seem to be predictors for persisting pain.

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牙科学生应对外部压力时颞下颌疼痛与生物行为变量的关系。
目的:评估外部应激源对颞下颌紊乱(TMD)疼痛和与TMD相关的多种生物行为变量的影响。方法:采用在线DC/TMD问卷收集口腔医学研究生志愿自述资料。数据收集分两次进行:在学期的非考试期间和随后的考试期间。测量和比较了两个时期学生疼痛比例的变化、疼痛等级的差异和生物行为状态的严重程度。非考试期生物行为状态的严重程度与疼痛存在之间的关系也被测试,以评估生物行为变量是否可以预测疼痛的发生或持续。数据分析采用卡方检验、Wilcoxon符号秩检验、方差分析和Kruskal-Wallis检验。P < 0.05被认为是显著的。结果:213名入组学生中,经数据精简后仍有102名学生。在非检查期,有疼痛的个体比例为24.5%;在考试期间,这一比例为54.9%,并且更多的学生有更高的疼痛等级。所有生物行为变量的严重程度在测试期间都较高,但疼痛存在的变化与生物行为变量的变化之间没有关联。在两种情况下都报告疼痛的人都有更高的焦虑和功能失调水平。结论:考试期间开始了许多学生的心理状态的可测量的变化,以及他们的颞下颌疼痛的改变。在非考试期间,较高水平的焦虑和口腔行为似乎预示着持续的疼痛。
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来源期刊
Journal of Oral & Facial Pain and Headache
Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
5.10
自引率
4.00%
发文量
18
期刊介绍: Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.
期刊最新文献
Clinical Handbook for Oral, Facial, and Head Pain. Recommendations for Imaging of the Temporomandibular Joint. Position Statement from the American Academy of Oral and Maxillofacial Radiology and the American Academy of Orofacial Pain. The Physical Symptom Scale-8: Psychometric Characteristics of a Short-Form Version of the PHQ-15 and its Use in TMD-Related Assessment and Research. Abstract Review: Currents in Dental Sleep Medicine. Associations Between Temporomandibular Pain and Biobehavioral Variables in Dental Students in Response to an External Stressor.
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